Medicare Part D Formulary Tier Shift

… allows for generous increases in Executive Compensation. It’s also why my insurance company is charging me triple the GoodRx price for my prescriptions.

Here’s Why Drugs Are So Expensive Even With Medicare Coverage, In One Chart
https://www.goodrx.com/insurance/medicare/why-drugs-are-so-e…

The analysis shows, in plain terms, how dramatically insurance coverage for medications has changed in just the past few years. While Tier 1 drugs typically have a small co-pay (or even no co-pay), co-pays get much more hefty for drugs in Tiers 2 or higher. This means that often the co-payment is more than the retail cost of the drug, especially when discounts (such as those at GoodRx) are factored in.

Tell me again why I need a $20 million/yr health insurance CEO between me and my doctor?

intercst

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Tell me again why I need a $20 million/yr health insurance CEO between me and my doctor?

Demand he pay you more–or you will replace him with someone more generous to you.

It’s also why my insurance company is charging me triple the GoodRx price for my prescriptions.

When I got the Shingrex vax a bit over a year ago, GoodRx was cheaper than my Part D plan. The pharmacy reminded me using the GoodRx coupon would not allow the price of the shot to be applied to my deductible, but I didn’t care. I don’t take any meds, so I get the cheapest Part D plan, because I don’t care how high the deductable or copay is. I get the cheapest Part D plan, vs no plan at all, because the penalty for not getting Part D until you have a use for it is so high I may as well buy a plan as soon as eligible.

And “thanks” to Wendy for telling us about GoodRx. It has saved me some bux over the years.

Tell me again why I need a $20 million/yr health insurance CEO between me and my doctor?

We all know the answer to that. We have been fed a narrative, for forty years, that all the money has to be funneled through the hands of the “JCs”.

Steve

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